2/the Board was upset by sexuality - the book depicts Art being urged by his father not to mention a premarital affair.
Art’s choice: to make the contract with his *readers* rather than his father
He knows it depicts him being “a jerk” but this is wise -
3/We tell so many stories that are designed to clothe the story-teller in virtue or omniscience.
But adolescents have excellent BS-detectors.
They pay more attention to honesty
4/The overall discussion is rich. The 3 min news report is itself superb, a strong example of why local news reporters are so important.
They explain there remain people in McMinn county who believe that it is in the best interests of their kids not to read such a story.
5/ adults’ discussions about children often presume children are corrupted by seeing who human beings really are.
There is a crucial need for adults, teachers to guide children as they encounter new information, and to listen, and help them think about their responses
6/But it’s naive to think that an 8th grader does not already appreciate moral choices, hypocrisy among their teachers and parents.
It is *nuts* to think 8th graders can’t be guided through a graphic novel that tells a Holocaust story, with the worst violence implied, not shown
7/I am the child of a survivor (of a bad, but less bad, Holocaust experience, not a death camp, or I wouldn’t be here).
By age 8, I was told. I wasn’t ruined by knowing.
If you want my dad’s story hit me in DM’s and I will send you a link to his most recent telling /fin
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1/The revised draft version of @CDCgov opioid Rx guideline is covered appropriately here by @DrewQJoseph
This guideline must be assessed not just for what it says,but for how it may or may not guide institutional actions that abused the prior guideline & could do the same here
2/This means that whatever arguments we may offer about the *science*, a key challenge is what to do about other agencies, including those in @HHSGov itself, that decided to make a *misreading* of the 2016 Guideline key to their regulation of care, despite resultant patient harm
3/The most crucial examples are the Office for the Inspector General of HHS and the nonprofit @NCQA, because the @OIGatHHS refers prescribers for criminal investigation, while the @NCQA obligates the hand of all payers and providers
1/This is an update 🧵re: our research on suicides after Rx opioid reduction
Clinical context of SuicIde following OPIOID transitionS
(CSI OPIOIDs)
TL;DR: we're progressing. The pilot study is NOW.
A "bigger" study is coming
We are preparing docs for the funder & ethical review
3/I'm going to detour one tweet here on ADVOCACY:
In my role as ADVOCATE, not researcher, I have been decrying the imposition of nonconsensual changes to care of disabled patients, changes lacking evidentiary support, since 2017 (here with @AJ_Gordon ) statnews.com/2017/02/24/opi…
2/It is *harmful* to make clinicians invisible from the chain of accountability in our drug death crisis.
Civil litigators like to portray the medical profession understood as "putty". For people who like cop-outs and shirking responsibility, this is just fine.
3/But there's no drug company that convinced med schools to NOT prioritize training in addiction, in pain, in rehabilitation or in long-term care of complex problems.
And that choice, by OUR profession, is a big part of why many docs were pliant to marketing pushes
2/“We don’t know which among you have an open heart and an open mind, and which have just learned to appear that way.
We’ve done our best to screen out the latter, but medical school admissions is an imperfect process”
3/“During the early years of training you may be in survival mode..so that you can get through all the stuff we foist on you to memorize. You won’t need much of it when you practice medicine, but a fair amount of the content will be on board exams” #TwitterGIFs
Be ready to speak LOUDLY to protect patients who were *not protected* by institutions that gave that the 2016 Guideline regulatory force, without regard to the the complexities of scientific evidence
“As medical boards, insurers and government agencies enforce this guideline, prescribing differently from the topline recommendations is likely to become onerous, leaving many patients in the lurch”